ArticleEuropean heart journal. Case reports2025
Stuck between a rock and a hard place: heart failure with bilateral atrial appendage thrombi and disseminated intravascular coagulation-a case report.
Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The simultaneous occurrence of left atrial appendage (LAA) and right atrial appendage (RAA) thrombosis is a rare finding in atrial fibrillation (AF). In addition, concomitant conditions, such as heart failure (HF) and disseminated intravascular coagulation (DIC), could be associated with intracardiac thrombosis. Case summary: A 69-year-old Caucasian man was admitted to the hospital for progressive dyspnoea and new-onset diarrhoea. His physical examination revealed signs of HF and new-onset AF; laboratory tests showed marked thrombocytopaenia and coagulopathy. Blood and urine cultures were positive for Discussion: Multiple mechanisms, such as inflammatory storm, activation of coagulation cascade, and amplified immune response, may explain the hyper-coagulable state related to DIC. In our case, HF, AF, and DIC may have facilitated RAA thrombosis, which is a rare finding. To the best of our knowledge, this is the first reported case of concomitant cardiac thrombosis as a complication of DIC in the context of
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